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Embolisation of an acquired uterine arteriovenous malformation

Although rare, uterine arteriovenous malformation should be considered in women presenting with significant haemorrhage following recent uterine surgery. Uterine artery embolisation is a safe and effective therapy, which preserves fertility.

Authors

Deirdre Hayes-Ryan

Year
2024
Journal Name
BMJ Case Reports
Category
Journal Article
Keywords
Miscarriage
Full Citation

Coffey AJ, Galvin D, Power S, Hayes-Ryan D. Embolisation of an acquired uterine arteriovenous malformation. BMJ Case Reports. 2024;17:e261005. https://casereports.bmj.com/content/17/12/e261005.

Link to Publication

Abstract

A woman in her 30’s presented to hospital with heavy vaginal bleeding two weeks following surgical management of retained pregnancy tissue. Imaging showed a lesion in the muscle of her womb with large blood supple known as a uterine arteriovenous malformation (UAVM). She underwent embolisation treatment in the radiology department to block the blood supply to the UAVM, which was repeated two weeks later. Her bleeding resolved and follow up imaging showed the UAVM to reduce in size and fully resolve by 12 weeks. Although rare, UAVM can cause heavy bleeding which can be life threatening. They may occur following surgery on the womb especially in the context of recent pregnancy. Treatment with embolisation is effective and can preserve fertility if so desired.

Pregnancy Loss Research Group

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Pregnancy Loss Research Group, Department of Obstetrics & Gynaecology, ÉîÒ¹ÑÇÖÞ¸£Àû¾Ã¾Ã College Cork, Fifth Floor, Cork ÉîÒ¹ÑÇÖÞ¸£Àû¾Ã¾Ã Maternity Hospital, Wilton, Cork, T12 YE02, Ireland,

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